Daily Challenges Research Articles

Mental health during the COVID-19 pandemic and first lockdown in Lebanon: Risk factors and daily life difficulties in a multiple-crises setting.

Research from around the world shows important differences in the impact of the COVID-19 pandemic and lockdowns on mental health. This study examined the extent of mental health challenges (depressive and anxiety symptoms and daily life difficulties) and their associations with pandemic- and response-related factors during the first lockdown in Lebanon, which happened amid a severe economic crisis and socio-political turmoil. Data come from a cross-sectional internet-based survey (May-June 2020). Association of depressive (Patient Health Questionnaire (PHQ-9)) and anxiety symptoms (Generalized Anxiety Disorder (GAD-7)) with outbreak-related worries and knowledge, information sources, and confidence and satisfaction in response measures were estimated using logistic regression adjusted for sociodemographic and socioeconomic indicators. Among 510 participants (mean age 36.1±11.3; 69.4% women), 32.3% had elevated depressive and 27.3% had elevated anxiety symptoms; younger age, unemployment, loss of employment, and lower income were related to more mental health symptoms. Most prevalent daily life challenges were feelings of uncertainty (74.5%) and financial (52.2%) and emotional (42.2%) difficulties; these and all other daily life difficulties (work-related, caregiving, and online learning) were significantly higher among participants with higher depressive and anxiety symptoms. Higher outbreak-related worries were associated with higher depressive (OR = 1.36, 95% CI = 1.20,1.53) and anxiety symptoms (OR = 1.47, 95% CI = 1.30,1.67). Higher pandemic-related knowledge, reliance on and trust in local health agencies and professionals' information, and satisfaction and confidence regarding governmental and health institutions' response were all related to lower mental health symptoms. Results show that mental health burden in Lebanon during the first lockdown (when the COVID-19 outbreak was still minimal) is among the highest reported worldwide and highlight elevated emotional and financial tolls and widespread impact on daily life. In this high-burden and multiple-challenges context, results suggest an important role for the healthcare body, knowledge, and trust in the institutions managing the response.

The prehospital NEW score to assess septic shock in-hospital, 30-day and 90-day mortality

BackgroundThe early identification of sepsis presenting a high risk of deterioration is a daily challenge to optimise patient pathway. This is all the most crucial in the prehospital setting to optimize triage and admission into the appropriate unit: emergency department (ED) or intensive care unit (ICU). We report the association between the prehospital National Early Warning Score 2 (NEWS-2) and in-hospital, 30 and 90-day mortality of SS patients cared for in the pre-hospital setting by a mobile ICU (MICU).MethodsSeptic shock (SS) patients cared for by a MICU between 2016, April 6th and 2021 December 31st were included in this retrospective cohort study. The NEWS-2 is based on 6 physiological variables (blood pressure, heart rate, respiratory rate, temperature, oxygen saturation prior oxygen supplementation, and level of consciousness) and ranges from 0 to 20. The Inverse Probability Treatment Weighting (IPTW) propensity method was applied to assess the association with in-hospital, 30 and 90-day mortality. A NEWS-2 ≥ 7 threshold was chosen for increased clinical deterioration risk definition and usefulness in clinical practice based on previous reports.ResultsData from 530 SS patients requiring MICU intervention in the pre-hospital setting were analysed. The mean age was 69 ± 15 years and presumed origin of sepsis was pulmonary (43%), digestive (25%) or urinary (17%) infection. In-hospital mortality rate was 33%, 30 and 90-day mortality were respectively 31% and 35%. A prehospital NEWS-2 ≥ 7 is associated with an increase in-hospital, 30 and 90-day mortality with respective RRa = 2.34 [1.39–3.95], 2.08 [1.33–3.25] and 2.22 [1.38–3.59]. Calibration statistic values for in-hospital mortality, 30-day and 90-day mortality were 0.54; 0.55 and 0.53 respectively.ConclusionA prehospital NEWS-2 ≥ 7 is associated with an increase in in-hospital, 30 and 90-day mortality of septic shock patients cared for by a MICU in the prehospital setting. Prospective studies are needed to confirm the usefulness of NEWS-2 to improve the prehospital triage and orientation to the adequate facility of sepsis.

“Exploring the experiences of individuals with mild cognitive impairment during the COVID-19 pandemic: A qualitative study in Spanish hospitals”

BackgroundThe descriptive qualitative study was conducted in three Spanish hospitals during 2023, exploring the experiences of 34 individuals with Mild Cognitive Impairment (MCI) diagnosed during the COVID-19 pandemic. ObjectiveTo thoroughly investigate the experiences of participants with MCI in the context of the pandemic, identifying challenges, care guidelines, and support, while evaluating the emotional and social impact. Methods34 in-depth interviews were conducted, and purposive sampling was used to select participants with MCI. The COREQ recommendations were followed, and ethical approval was obtained. ResultsFive specific themes emerged: (1) Impact of Diagnosis in the Pandemic, (2) Daily Challenges and Pandemic, (3) Care Guidelines and Professional Support, (4) Social and Emotional Support in the Context of the Pandemic, and (5) Fear and Uncertainty. Participants expressed the need for an integrated approach and personalized care. ConclusionsThe results highlight the importance of clear communication and patient-centered care in managing MCI during the pandemic. The implementation of person-centered diagnosis and treatment processes is suggested. The need for future research evaluating effective coping strategies and the influence of fragmented care on disease progression is emphasized.

Factors Associated With Psychological Wellbeing in Home Care Older Adults With Alzheimer's Disease: A Longitudinal Analysis.

The long-term symptoms associated with Alzheimer's disease pose significant challenges to the psychological wellbeing of patients. This longitudinal study aims to analyze the effects of socioeconomic factors and physical health factors on the psychological wellbeing of older patients diagnosed with Alzheimer's disease (AD) receiving home care, as well as the moderating role of aging and care support in influencing their psychological wellbeing. Data from the Health and Retirement Study (N = 628 older Alzheimer's patients) were analyzed using pooled ordinary least squares fixed-effects models. Findings suggest that Alzheimer's patients' psychological wellbeing was significantly affected by factors including cohabitation, gender, assistance frequency, age, education, and daily activity challenges, with assistance and increasing age mitigating some daily difficulties. The findings underline the multifactorial nature of psychological wellbeing among older Alzheimer's patients in home care and the critical role of social and physical health determinants in shaping these outcomes.

A protocol for a cross-sectional survey exploring the work lives and wellbeing of the mental health nursing workforce in the UK

Background/Aims Demand for mental health services is high, but so are vacancy levels for registered nurses in mental health. To effectively address the workforce disparity, we need to engage with nurses to understand better the rewards and challenges of being part of the UK's mental health nursing workforce. The aim of the study set out in this protocol will be to identify modifiable workplace factors impacting nurses' work lives and wellbeing. Methods A protocol for an online cross-sectional survey exploring the work lives and wellbeing of registered nurses working in mental health in the UK. Implications This survey will provide an understanding of the daily challenges and rewards of mental health nursing. In understanding the modifiable workplace factors impacting nurses, the authors will provide the evidence and recommendations necessary to develop and implement workplace policies and interventions supporting nurse retention, recruitment and wellbeing.

Immunohistochemical Expression of SATB2 in Malignant Melanomas.

Accurate diagnosis of cancer of unknown primary (CUP) poses a significant daily challenge for pathologists, necessitating reliable immunohistochemical (IHC) markers. SATB2 is a transcription factor primarily expressed in colorectal neoplasms. This study investigates the IHC expression of SATB2 in malignant melanomas (MM). Using tissue microarrays (TMAs) from Aalborg University Hospital, Denmark, comprising 56 primary and 12 metastatic MMs, we evaluated SATB2 expression through H-scores. We found that 48% of MM cases expressed SATB2, predominantly with weak to moderate staining intensity. Although no significant difference was observed between primary and metastatic MMs, a higher median H-score was noted in metastatic lesions. The results highlight the potential diagnostic pitfall of SATB2 expression in MM and underline the need for careful interpretation.

Health-Related Quality of Life of Adolescents and Children With Type 1 Diabetes in the Jazan Region of Saudi Arabia.

Type 1 diabetes mellitus (T1DM) is increasingly prevalent among Saudi Arabian youth, particularly in the Jazan region. This chronic condition necessitates lifelong insulin therapy and poses significant daily management challenges for affected adolescents. Despite the high incidence rates, there is a notable lack of research into how T1DM impacts the health-related quality of life (HRQoL) of these individuals. This study aimed to assess HRQoL and its demographic correlates in T1DM patients in the Jazan region of Saudi Arabia. In this cross-sectional study, 236 T1DM patients completed the Pediatric Quality of Life Inventory Diabetes Module 3.0 (PedsQL DM). The HRQoL across domains of diabetes symptoms, treatment barriers, adherence, worry, and communication was compared by gender, nationality, age, education, residence, and healthcare follow-up using t-tests and ANOVA. Multivariate regression identified predictors of overall HRQoL. Most respondents were female (51.3%), 42.8% were between the ages of seven and 12 years, and 94.5% were Saudi nationals. Males reported better HRQoL than females, with fewer symptoms, treatment barriers, and better communication (all p<0.05). Non-Saudis had better treatment adherence, communication, and overall HRQoL than Saudis (all p<0.05). Older children (13-18 years) reported lower treatment barriers than younger children (three to six years) (p<0.05). Those with intermediate education had lower treatment barriers than those with preliminary education (p = 0.038). Only the female gender (-0.171, p = 0.009) independently predicted poorer overall HRQoL. This study revealed disparities in HRQoL among T1DM children and adolescents. Males, non-Saudis, older children, and those with more education had better HRQoL. Females were at particular risk for poorer outcomes. Targeted interventions are needed to address this region's demographic disparities in diabetes-related HRQoL.

PATIENT DECISION MAKING ABOUT UTILIZATION OF TREATMENT AND MANAGEMENT METHODS: TOWARD ENHANCED PROMOTION OF PREVENTIVE SELF-MANAGEMENT FOR ULCERATIVE COLITIS

Abstract BACKGROUND Living with Ulcerative Colitis (UC) is accompanied by physical and psychosocial burdens that significantly detract from quality of life. To accommodate, individuals employ multiple treatment and management methods to mitigate gastrointestinal (GI) disease symptoms, reduce pharmaceutical dependence, and respond to the daily challenges of living with UC. This study examines why and how patients choose to utilize treatment and management methods, with emphasis on patient perspectives and experiences. METHODS Adults living with UC for at least 5 years, who had experienced at least one disease flare, were recruited to participate in individual, semi-structured qualitative interviews (N=21). Verbatim transcripts were thematically analyzed using emergent coding with Nvivo12®. RESULTS Decision making about the use of treatment and management methods was shaped by participants’ sources of information, attitudes toward self-management, and personal motivations. Participants rarely expressed feelings of personal responsibility for the unpredictable course of illness. However, some believed that they could, to varying degrees, take charge of their UC experience. A few individuals described an active approach to managing their illness through self-adjusting treatment methods, health behavior change, and self-advocacy towards satisfaction with treatment options and enhanced patient-provider communication. The poor quality of life associated with the daily burden of living with UC emerged as a primary motive for exploration and utilization of treatment and management methods. Participants drew conclusions about diet’s impact on disease activity by observation of immediate GI symptoms. While most patients aimed to mitigate UC symptoms by taking medications, reducing stress, and avoiding perceived ‘trigger’ foods, participants reported primarily utilizing treatment and management methods as reactive responses to flares instead of as preventive measures against disease activity and disease progression. DISCUSSION Results provide insight into patient decision making and may inform individualized patient care, improve patient-provider communication, and guide interdisciplinary efforts to support self-management among patients with UC. Findings highlight a need for greater focus on promoting preventive self-management lifestyle behaviors to protect against disease activity and progressive impairment. This research supports the promotion of disease prevention and self-management both inside and outside of the clinical setting.

Chemical and Ultrastructural Characterization of Dentin Treated with Remineralizing Dentifrices.

The aim of this study is to investigate dentin chemical and ultrastructural changes upon exposure to remineralizing dentifrices. Dentin disks were obtained from permanent human molars and treated for 7 days with the dentifrices: (1) C group-control (no dentifrice); (2) S group-Sensodyne Repair & Protect; (3) D group-Dentalclean Daily Regenerating Gel; and (4) DB group-D group + Dentalclean regenerating booster. Afterwards, samples were submitted to an additional 7 days of toothbrushing associated with daily acidic challenge. Samples were imaged and analyzed (days 1, 7, and 14) for Young's modulus by atomic force microscopy (AFM), scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDX), transmission electron microscopy (TEM) and selected area electron diffraction (SAED). SEM and AFM revealed precipitate deposition on dentin surfaces in groups S, D, and DB, formed as early as day 1. Surface elemental analysis showed a Si increase on all brushed surfaces. Similar surface morphology was maintained after the acidic challenge period. Bright-field TEM/SAED revealed the formation of nanocrystalline hydroxyapatite inside the dentin tubules of groups S, D, and DB after day 7. Group C presented a gradual reduction of Young's modulus from days-1-14, whereas all remaining groups had increased values. All evaluated dentifrices led to successful formation of hydroxyapatite and increased dentin stiffness.

‘I just want to go home, is what I need’ – Voices of Ukrainian refugee children living in Estonia after fleeing the war

This study explores the experiences of Ukrainian refugee children in Estonia following the Russian invasion of Ukraine in 2022 with a focus on their daily functioning, challenges, and resilience. Three main themes emerged from interviews carried out from October through December 2022 with 11 refugee children aged 10 to 16. First, the adaptation process was related to various challenges including living environment, language, participation in two different types of schooling, and homesickness. Children highlighted their struggles with socialisation and a fear of rejection. Second, the schooling experiences of these children unfolded in two phases: initially, they engaged in passive observation and limited interaction with Estonian classmates, after which active participation enabled them to express optimism but also fear of not meeting language proficiency requirements. Third, the children emphasised a strong need for psychological support to address trauma and stress resulting from the war and displacement. They outlined the importance of family, peer support, engagement in leisure activities, and a connection to nature in facilitating their adaptation. The findings underline the significance of tailored support services, language acquisition programmes, mental health services, and culturally sensitive interventions for Ukrainian refugee children in Estonia. The implications include reforms in education, integration, and long-term monitoring to facilitate the well-being and successful integration into the new environment of this group.

Evaluating the challenges and needs of parents caring for children with Williams syndrome: A preliminary study from Poland

BackgroundAlthough physical, cognitive and behavioural manifestations of Williams syndrome (WS) affect every dimension of caregivers lives, no studies on the parental experiences of caring for a WS child have to date been carried out in Poland. MethodsIn order to identify the challenges and needs of Polish carers of WS children a survey was conducted with 32 family caregivers who were supported by the Polish Williams Syndrome Association. ResultsWhile caregivers were mostly challenged by their WS child’s behaviours, health problems and mood swings, many parents experienced fatigue, intimacy problems with the partner and deterioration of mental health. They were also burdened by the lack of time for themselves and work restrictions resulting from caregiving responsibilities. Even though parents positively assessed quality of medical care for WS children, still many expressed their dissatisfaction both with the way the healthcare system for WS children works in Poland and complained about the doctors’ lack of knowledge about WS, access to specialist care and lack of support from government and social institutions. Although many parents stressed positive impact of rising WS child, more than half experienced role captivity or role overload and felt not being understood by others. They also experienced variety of distressing emotions, including impatience, emotional lability, helplessness, anxiety and depression. ConclusionsAlthough many WS parents stressed the affirmative aspect of raising WS child this research shows that the burden of caring for such a child goes far beyond clinical aspects and seriously affects every aspect of parents’ lives, including their mental health, daily lives, family, their professional and social lives. Because apart from the daily challenges related to caring for a WS child, parents’ dealings with the healthcare system and support services represent major problems there is a the need for a bio-psychosocial approach to WS that should include not only WS children, but also their caregivers. What this paper adds?1. It analyses the challenges and needs of parents caring for children with Williams syndrome;2. It provides evidence that the impact of caring for WS children goes far beyond clinical aspects and seriously affects every aspect of parents’ lives, including their mental health, daily lives, family, their professional and social lives;3. It also shows that, apart from the daily challenges related to caring for a WS child, parents’ dealings with the healthcare system and support services represent major problems.4. Thereby, it highlights the importance of incorporating a bio-psychosocial approach to WS that should include not only WS children, but also their caregivers.

Defense Mechanism as a Psychological Concept in Afro-American Novel

The life of average black man offshore African soil is fraught with greater challenges. The study concentrates on defense mechanism as one of the many psychological devices or tools, used ignorantly by Black-Americans as a means of earning their manumission or emancipation from white overlords. Many of these challenges could be both mild and severe, traumatizing and excruciating; causing great mental or physical pain. The extreme of these challenges is that, it leads to early death if the victim or the situation is not rescued. Against this backdrop, the study adopted the concepts based on the psychoanalytic principles established by Sigmund Freud (1856-1939) whose theory of the psyche is often today in Eagleton’s Introduction to Literary theory (2005) referred to as classical psychoanalysis. This theory also combines with Lois Tyson (1999) African-American criticism to examine black families in black literatures from the psychological point of view. Cases of defense mechanism as a psychological concept are drawn out of four (4) Afro-American literary texts; Richard Wright’s “Black Boy” and “Native son”, August Wilson’s “Fences” and Toni Morrison’s Beloved. Major findings are the psychological errors committed by traumatized blacks from their daily challenges and how the errors defined their lives in ruins and their identity as blacks. Major attention was focused on how those blacks were able to defend themselves and possibly gained their emancipation from slavery. The study focused on how the sampled-blacks faced and accepted the confrontational harsh economy and unbreakable political structure created by the whites. The classist nature of the social structure were also considered and how this affects or defines the limitations of blacks as second-class citizens in diaspora.

Supporting health and social care professionals in serious illness conversations: Development, validation, and preliminary evaluation of an educational booklet.

Serious illness conversations aim to align the care process with the goals and preferences of adult patients suffering from any advanced disease. They represent a challenge for healthcare professionals and require specific skills. Conversation guides consistent with task-centered instructional strategies may be particularly helpful to improve the quality of communication. This study aims to develop, validate, and preliminarily evaluate an educational booklet to support Italian social and healthcare professionals in serious illness conversations. A three-step approach, including development, validation, and evaluation, was followed. A co-creation process with meaningful stakeholders led to the development of the booklet, validated by 15 experts on clarity, completeness, coherence, and relevance. It underwent testing on readability (Gulpease index, 0 = lowest-100 = maximum) and design (Baker Able Leaflet Design criteria, 0 = worst to 32 = best). Twenty-two professionals with different scope of practice and care settings evaluated acceptability (acceptable if score ≥30), usefulness, feasibility to use (1 = not at all to 10 = extremely), and perceived acquired knowledge (1 = not at all to 5 = extremely). After four rounds of adjustments, the booklet scored 97% for relevance, 60 for readability, and 25/32 for design. In all, 18 (81.8%), 19 (86.4%) and 17 (77.3%) professionals deemed the booklet acceptable, moderate to highly useful, and feasible to use, respectively; 18/22 perceived gain in knowledge and all would recommend it to colleagues. The booklet has good readability, excellent design, high content validity, and a high degree of perceived usefulness and acquired knowledge. The booklet is tailored to users' priorities, mirrors their most frequent daily practice challenges, and offers 1-minute, 2-minute and 5-minute solutions for each scenario. The co-creation process ensured the development of an educational resource that could be useful regardless of the scope of practice and the care setting to support professionals in serious illness conversations.

Embodiment and agency in a digital world.

We are agents and our agency is often best characterized in terms of embodied cognition. However, this is not to deny that there are cognitively significant ways of agentive engagement with the world that may be described without referring to our embodiment. In this paper we shall focus on the interplay between embodied agency and non-embodied agency or agency that may not be straightforwardly described in terms of embodied cognition in the context of interaction with digital technologies. In recent years a lot of our daily lives are coupled to the world via digital technologies. Yet how to understand the nature and evolution of our agency in the context of interacting with daily digital technologies is an open question. We propose to address this question by focusing on whether the steady development of digital technologies in our daily lives challenges the view that embodied agency is the de facto way of robustly engaging with the world and if embodied cognition is challenged then what is taking its place in scenarios where it was once dominant.

A Platform for Model-based Learning and Gamification in Design Education

This study proposes a design learning platform that combines concepts from gamification, model-based learning, and educational psychology to produce a dynamic learning environment created for design students. The platform’s main feature is a gamified approach to design education. It presents students with design quests and challenges that cross a variety of design disciplines. By using a subjective and open-ended approach, this platform encourages problem-solving, and critical thinking. To improve the learning experience, the platform incorporates educational psychology. Real-time feedback mechanisms are integrated with formative assessment methodologies to give students feedback on their progress. Model-based learning tools, such as concept models, 3D design, and flowcharts are incorporated. This helps students in understanding the connections between ideas, visualising complicated design concepts, and applying their learning to real-world situations. Gamification components such as point systems and prizes help to increase motivation and engagement. The platform aims to combine Augmented reality (AR) and Virtual reality (VR) technology into the concept. Students will be able to explore design environments and develop interesting concepts. This advancement will increase the depth and interaction of the learning experience. Primary research was conducted with preliminary prototypes of the platform with students of design to recognise the initial impact of the features of the platform. This showed to improve design thinking and problem-solving abilities. Prototype concepts have been discussed to further develop the platform’s capabilities. These concepts include the development of a mobile application to facilitate skill tracking and daily design challenges to encourage innovation. In essence, this design learning platform provides a systemic approach to design education, combining various design methods and principles, educational psychology techniques, and AR and VR technology. It hopes to empower design students by providing them with the skills, information, and drive they need to flourish in the dynamic and ever-changing world of design.

First Step to empowering change: enhancing self-efficacy, energy management, and physical activity in patients with sleep apnea.

Fatigue often leads to a sedentary lifestyle, negatively impacting health, mortality, and quality of life. Engaging in physical activity can be challenging for individuals experiencing fatigue, particularly those with sleep apnea. This study's objective was to assess the "First Step" concepts' usability in constructing and implementing different interventions through qualitative data. The intervention targets patients with sleep apnea, focusing on individualized energy distribution and meaningful engagement in physical activity. Two programs were developed based on the First Step concept, a rehabilitation program and a patient education program. Initially, 13 patients were recruited, split between the groups, with two dropping out. Primarily evaluated through qualitative data, patients in both groups attended group interviews. For one of the programs supplementary quantitative data were collected through the 6-min walk test (6MWT), Sit-to-Stand test, and Canadian Occupational Performance Measure (COPM). Patients in the rehabilitation program also monitored daily step counts using activity trackers. Patients found the energy management education enlightening, enabling them to make conscious changes in their daily lives. They reported the program's positive reception, with social interaction playing a crucial role in its success. Of the six patients who completed the rehabilitation program, significant improvements in 6MWT scores were observed, indicating enhanced walking endurance. While no changes were seen in the Sit-to-Stand test, COPM results showed notable improvements in performance and satisfaction with chosen activities. The incorporation of the First Step concept empowered patients with sleep apnea to manage fatigue, conserve energy, engage in meaningful activities, and improve their wellbeing. Merging occupational therapy and physiotherapy interventions effectively addressed daily challenges while promoting physical activity. Adaptations to the program, guided by patient feedback, suggest a preference for longer, more personalized sessions. This approach offers a promising pathway to improving quality of life for individuals with chronic conditions. Our study highlights the usability of the First Step concept, integrating occupational therapy and physiotherapy, to address challenges in individuals with sleep apnea. The tailored, multidisciplinary intervention prioritizes meaningful activities, focuses on energy distribution and physical exercise, yielding improved satisfaction and performance. Further research is warranted to enhance this salutogenic approach for chronic conditions.

The use of gamification on cybersecurity awareness of healthcare professionals

Cybersecurity has a major impact on the healthcare sector, mainly due to the sensitive data and vital medical devices that, when an attack occurs, may compromise the life, safety, and well-being of the patients. However, those institutions fail on implementing correct system protection policies and providing adequate programs for cybersecurity training and raising cybersecurity awareness. Healthcare professionals develop their academic courses focusing on providing the best care for the patients, studying guidelines, treatment protocols, and diagnostic criteria. However, there are insufficient subjects dedicated to the development of digital literacy to match the requisites of the daily challenges of those professionals, with human error being the main cause of data breaches worldwide. So, developing training programs to face the cybersecurity day-to-day threats is mandatory.Broadly speaking, traditional training programs seem to fail on retaining students’ motivation, engagement, and long-term knowledge acquisition, being time-consuming and challenging in scheduling and planning. To face this situation, new techniques, such as gamification, have emerged, with promising results on motivation and engagement, allowing the users to be the center of the training programs, matching the strategy to their levels of knowledge and preferences.This paper aims to identify the existing gamified approaches available, review the state-of-the-art related to gamification and cybersecurity training, and elaborates on how they can be successfully applied to training programs for healthcare professionals.

The role of key workplace elements in determining individual and organizational success in Jordan Tourism Board

The aim of this research was to investigate the impact of various work-related factors, such as task load, workers’ compensation, and organizational structure community on job success and the overall performance of the Jordan tourism board. The researchers conducted an analysis of 269 randomly selected samples from their study and discussed their findings to validate their hypotheses. The study revealed that factors like compensation levels, organizational structure, community, and task load significantly influence individual and organizational success. The first aspect examined was the task load, which was assessed by considering factors such as job completion rates, daily challenges faced, and the time required for tasks. Work-related compensation, encompassing factors like experience, skill, incentives, and rewards, emerged as the second most crucial factor after working hours. The third and most vital component to consider was the organization structure community, which includes communities of practice, collaborative efforts, and physical infrastructure. According to the research findings, improving employee performance can be achieved by reducing their task load, increasing work income, and developing the organization community that fosters teamwork and the formation of workgroups. These elements collectively impact overall productivity. The study provides valuable insights into an underexplored area, shedding light on how task load, compensation, and organizational structure community interplay. The research's focus on the Jordan tourism board is particularly significant, as it has the potential to help tourism companies enhance their operations and provide superior service to their customers.

Real-time personalized feedback in mHealth for adolescents.

Mobile Health (mHealth) interventions have the potential to improve early identification, prevention, and treatment of mental health problems. Grow It! is a multiplayer smartphone app designed for youth aged 12-25, allowing them to monitor their emotions and engage in daily challenges based on Cognitive Behavioral Therapy (CBT) principles. Recently, a personalized mood profile was added to improve the app. We investigated whether real-time personalized feedback on mood enhances app engagement, user experience, and the effects on affective and cognitive well-being. Sample A (N = 1269, age = 18.60 SD = 3.39, 80.6% girls, 95.4% Dutch) played the original app without feedback on their mood, and an independent Sample B (N = 386, age = 16.04 SD = 3.21, 67.6% girls, 82.9% Dutch) received the renewed version with personalized real-time feedback on their mood. Participants who received personal feedback did not have higher app engagement (t(1750,400) = 1.39, P = .206, d = 0.07; t(692,905) = 0.36, P = .971, d = 0.0) nor higher user experience (t(177,596) = 0.21, P = .831, d = 0.02; (t(794) = 1.28, P = .202, d = 0.12; χ2 (659,141) = 2.83, P = .091). Players of the renewed version (Sample B) experienced significant improvements in affective (t(175) = 3.01, P = .003, d = 0.23) and cognitive well-being (t(175) = 3.48, P = <.001, d = 0.26) over the course of three weeks. The renewed version Grow It! has the potential to enhance youths' affective and cognitive well-being. However, adding real-time insights did not seem to affect app engagement nor user experience.

Inequality and deprivation in an affluent community: A case study of the livelihood of low-income households in Central and Western District, Hong Kong

The Central and Western District (C&W District) of Hong Kong is often associated with prosperity. However, some families in the C&W District, like those in other areas of Hong Kong, face poverty and deprivation. This study implemented purposive sampling and the constructivist grounded theory to investigate the perceptions of and daily challenges faced by underprivileged residents and community stakeholders in the district. This study conducted individual or small group in-depth interviews with 40 residents in 2019. The results revealed that unaffordable housing and poor living environments impeded family cohesiveness. Young people lacked sufficient academic support. Under the government's latest policy direction of “targeted poverty alleviation”, this study recommends that government departments and relevant social stakeholders proactively explore the development of social housing in the district. In addition, community volunteers with English proficiency and other professional skills should be recruited to offer free or affordable tutoring services for underprivileged students.